Composite
97.5 / 100 percentile
Screener / 295085
F
HIGHLAND MANOR OF FALLON REHABILITATION LLC
snfNVSFF: SFF Candidate
550 NORTH SHERMAN STREET, FALLON, NV 89406 · CCN 295085 · chain MAZE FAMILY LIMITED PARTNERSHIP
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
102
Model
v1.2
Reads as: riskier than 97.5% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals11Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies84Licensure0Ownership32Related party5Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 94.6 | 83.8 | 0.30 | 0.2308 | 21.83 | in index |
| regulatory risk | 92.4 | 90.1 | 0.30 | 0.2308 | 21.32 | in index |
| staffing risk | 84.9 | 84.9 | 0.25 | 0.1923 | 16.33 | in index |
| billing conduct | 40.8 | 35.8 | 0.30 | 0.2308 | 9.42 | in index |
| chow risk | 58.7 | 57.1 | 0.15 | 0.1154 | 6.77 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
11| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 11.6x prior | this facility | 2026-07-29 |
| connection | Owner fleet risk far above national | +28.0 vs natl | MAHRT DAVID | 11 facilities |
| connection | Owner fleet risk far above national | +23.0 vs natl | MYERS WALTER | 22 facilities |
| connection | Owner fleet risk far above national | +21.9 vs natl | SWAIN JARED | 19 facilities |
| connection | Owner fleet risk far above national | +20.7 vs natl | COTTONWOOD HEALTHCARE LLC | 22 facilities |
| connection | Owner fleet risk far above national | +20.0 vs natl | MYERS KATIE | 16 facilities |
| connection | Owner fleet enforcement cluster | 55% fined | MAHRT DAVID | 11 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | MYERS KATIE | 16 facilities |
| connection | Owner fleet enforcement cluster | 47% fined | SWAIN JARED | 19 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | MYERS WALTER | 22 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | COTTONWOOD HEALTHCARE LLC | 22 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 35.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 89.3 | F | v0.6 | default · in composite | |
| financial risk | 83.8 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 90.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 84.9 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 90.8 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 70.8 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 75.2 | D | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 82.2 | F | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 90.0 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 90.0 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 84.9 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 84.9 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 2.28 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.92 | -0.63 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 22.00 | +0.36 | |
| Chain size (log) | 2.94 | +0.22 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 22.00 | -2.65 | |
| Occupancy | 0.92 | -0.70 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.18 | -0.64 | |
| Chain size (log) | 2.94 | -0.51 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.28 | -0.26 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | NV median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.69 | 3.62 | 3.28 | 2.90–3.77 |
| RN | 0.13 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 2.53 | 3.46 | 3.11 | — |
| Weekday total | 2.76 | 3.68 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 93.4 | 2.69 | 0.13 | 0.81 | 1.75 | 2.53 | 0.0% |
| 2025Q3 | 92 | 89.0 | 2.67 | 0.11 | 0.84 | 1.72 | 2.57 | 0.0% |
| 2025Q2 | 91 | 87.5 | 2.72 | 0.26 | 0.67 | 1.79 | 2.45 | 0.0% |
| 2025Q1 | 90 | 86.9 | 2.70 | 0.25 | 0.68 | 1.77 | 2.59 | 0.0% |
| 2024Q4 | 92 | 84.3 | 2.56 | 0.27 | 0.67 | 1.62 | 2.36 | 0.0% |
| 2024Q3 | 92 | 82.8 | 2.79 | 0.33 | 0.71 | 1.75 | 2.69 | 3.2% |
| 2024Q2 | 91 | 74.9 | 2.54 | 0.32 | 0.59 | 1.63 | 2.54 | 0.0% |
| 2024Q1 | 91 | 75.9 | 2.87 | 0.22 | 0.81 | 1.83 | 2.55 | 13.3% |
| 2023Q4 | 92 | 65.5 | 2.74 | 0.26 | 0.82 | 1.65 | 2.53 | 12.2% |
| 2023Q3 | 92 | 65.0 | 3.07 | 0.15 | 1.12 | 1.80 | 2.73 | 31.4% |
| 2023Q2 | 91 | 77.8 | 2.63 | 0.16 | 1.17 | 1.30 | 2.27 | 22.5% |
| 2023Q1 | 90 | 73.0 | 2.62 | 0.15 | 1.08 | 1.40 | 2.42 | 16.4% |
| 2022Q4 | 92 | 61.5 | 2.69 | 0.16 | 1.10 | 1.42 | 2.58 | 2.5% |
| 2022Q3 | 92 | 51.8 | 3.33 | 0.18 | 1.08 | 2.07 | 2.86 | 4.3% |
| 2022Q2 | 91 | 47.5 | 3.22 | 0.30 | 1.06 | 1.86 | 2.65 | 8.4% |
| 2022Q1 | 90 | 44.2 | 3.14 | 0.27 | 0.93 | 1.94 | 2.55 | 5.6% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-04 | Fine | $71,656 | CMS provider data |
| 2024-11-12 | Fine | $18,564 | CMS provider data |
Total fines on record: $90,220
Deficiencies
84D × 70E × 8F × 4G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-04 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-10-17 |
| 2025-09-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-10-17 |
| 2025-09-04 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-10-17 |
| 2025-09-04 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-10-17 |
| 2025-09-04 | Health | F0641 | Ensure each resident receives an accurate assessment. | F | 2025-10-17 |
| 2025-09-04 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-10-17 |
| 2025-09-04 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-10-17 |
| 2025-09-04 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-10-17 |
| 2025-09-04 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-10-17 |
| 2025-09-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-17 |
| 2025-09-04 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-10-17 |
| 2025-09-04 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2025-10-17 |
| 2025-09-04 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-10-17 |
| 2025-09-04 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-10-17 |
| 2025-09-04 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-10-17 |
| 2025-09-04 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-10-17 |
| 2025-09-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-10-17 |
| 2025-09-04 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2025-10-17 |
| 2025-09-04 | Health · complaint | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | 2025-10-17 |
| 2025-09-04 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2025-10-17 |
| 2025-09-04 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-10-17 |
| 2025-09-04 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2025-10-17 |
| 2025-01-22 | Health · complaint | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | 2025-02-07 |
| 2024-11-12 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-12-06 |
| 2024-11-12 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2024-12-06 |
| 2024-08-22 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-10-06 |
| 2024-08-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-10-06 |
| 2024-08-22 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-06 |
| 2024-08-22 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-06 |
| 2024-08-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-10-06 |
| 2024-08-22 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-10-06 |
| 2024-08-22 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-06 |
| 2024-08-22 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-10-06 |
| 2024-08-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-06 |
| 2024-08-22 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | D | 2024-10-06 |
| 2024-08-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-06 |
| 2024-08-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-06 |
| 2024-08-22 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-10-06 |
| 2024-08-22 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2024-10-06 |
| 2024-08-22 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2024-10-06 |
| 2024-08-22 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-10-06 |
| 2024-08-22 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-10-06 |
| 2024-08-22 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2024-10-06 |
| 2024-08-22 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2024-10-06 |
| 2024-08-22 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-10-06 |
| 2024-08-22 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-06 |
| 2024-08-22 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2024-10-06 |
| 2024-08-22 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2024-10-06 |
| 2024-08-22 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-06 |
| 2024-04-30 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-06-17 |
| 2024-04-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-06-17 |
| 2024-04-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-17 |
| 2024-04-30 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-06-26 |
| 2024-04-30 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-06-26 |
| 2024-04-30 | Health · complaint | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2024-06-17 |
| 2024-04-30 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-06-17 |
| 2023-09-11 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-10-05 |
| 2023-09-11 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-10-05 |
| 2023-09-11 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-10-05 |
| 2023-09-11 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | 2023-10-05 |
| 2023-06-08 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-07-28 |
| 2023-06-08 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-07-28 |
| 2023-06-08 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2023-07-28 |
| 2023-06-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-07-28 |
| 2023-06-08 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-07-28 |
| 2023-06-08 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-07-28 |
| 2023-06-08 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | F | 2023-07-28 |
| 2023-06-08 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2023-07-28 |
| 2023-06-08 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2023-07-28 |
| 2023-06-08 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-28 |
| 2023-06-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-28 |
| 2023-06-08 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-07-28 |
| 2023-06-08 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-07-28 |
| 2023-06-08 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-07-28 |
| 2023-06-08 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-07-28 |
| 2023-06-08 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2023-07-28 |
| 2023-06-08 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2023-07-28 |
| 2023-06-08 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2023-07-28 |
| 2023-06-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-07-28 |
| 2023-06-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-07-28 |
| 2023-06-08 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2023-07-28 |
| 2023-06-08 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-07-28 |
| 2023-06-08 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-07-28 |
| 2023-06-08 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2023-07-28 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
32| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| COTTONWOOD HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-18 | current | pecos_ownership |
| COTTONWOOD HEALTHCARE LLC | ADP OF THE SNF | — | 2025-01-17 | current | pecos_ownership |
| HIGHLAND MANOR FALLON PROPERTY HOLDINGS LLS | ADP OF THE SNF | — | 2025-01-17 | current | pecos_ownership |
| HIGHLAND MANOR OF FALLON HOLDING LLC | ADP OF THE SNF | — | 2025-08-15 | current | pecos_ownership |
| MAHRT, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-02 | current | pecos_ownership |
| MAHRT, DAVID | ADP OF THE SNF | — | 2025-01-17 | current | pecos_ownership |
| MAHRT, DAVID | INDIRECT OWNERSHIP INTEREST | — | 2024-04-18 | current | pecos_ownership |
| MILLER, DENVER | ADP OF THE SNF | — | 2024-04-18 | current | pecos_ownership |
| MILLER, TREVOR | ADP OF THE SNF | — | 2024-09-21 | current | pecos_ownership |
| MILLER, TREVOR | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-21 | current | pecos_ownership |
| MYERS, KATIE | INDIRECT OWNERSHIP INTEREST | — | 2024-04-18 | current | pecos_ownership |
| MYERS, WALTER | ADP OF THE SNF | — | 2025-01-17 | current | pecos_ownership |
| MYERS, WALTER | INDIRECT OWNERSHIP INTEREST | — | 2024-04-18 | current | pecos_ownership |
| MYERS, WALTER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-02 | current | pecos_ownership |
| SLATTERY & HOLMAN P.C. | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-18 | current | pecos_ownership |
| SLATTERY & HOLMAN P.C. | ADP OF THE SNF | — | 2025-01-17 | current | pecos_ownership |
| SWAIN, JARED | CORPORATE OFFICER | — | 2024-04-18 | current | pecos_ownership |
| MAZE FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2024-04-18 | ended 2026-05-18 | pecos_ownership |
| WALTER MYERS | CORPORATE OFFICER | 50% | 2024-04-18 | ended 2026-05-18 | pecos_ownership |
| CHARLY BELLO FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | 2024-04-18 | ended 2026-05-18 | pecos_ownership |
| JARED SWAIN | CORPORATE OFFICER | 35% | 2024-04-18 | ended 2026-05-18 | pecos_ownership |
| KATIE MYERS | INDIRECT OWNERSHIP INTEREST | 24% | 2024-04-18 | ended 2026-05-18 | pecos_ownership |
| HOLLY SWAIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | 2024-04-18 | ended 2026-05-18 | pecos_ownership |
| DAVID MAHRT | INDIRECT OWNERSHIP INTEREST | 15% | 2024-04-18 | ended 2026-05-18 | pecos_ownership |
| PICKD LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2024-04-18 | ended 2026-05-18 | pecos_ownership |
| DAVID MAHRT | ADP OF THE SNF | — | 2025-01-17 | ended 2026-05-18 | pecos_ownership |
| DAVID MAHRT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-02 | ended 2026-05-18 | pecos_ownership |
| DENVER MILLER | ADP OF THE SNF | — | 2024-04-18 | ended 2026-05-18 | pecos_ownership |
| TREVOR MILLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-21 | ended 2026-05-18 | pecos_ownership |
| TREVOR MILLER | ADP OF THE SNF | — | 2024-09-21 | ended 2026-05-18 | pecos_ownership |
| WALTER MYERS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-02 | ended 2026-05-18 | pecos_ownership |
| WALTER MYERS | ADP OF THE SNF | — | 2025-01-17 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2024-04-18 | — | HIGHLAND MANOR OF FALLON REHABILITATION LLC | DESERT HEALTH CARE FACILITIES INC | chow |
Comparable trades — NV snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-17 | OASIS NURSING & REHAB OF GREEN VALLEY | — | — | — | 242 | HENDERSON DELMAR NV OPCO LLC |
| 2024-08-01 | NORTHERN NEVADA STATE VETERANS HOME | — | — | — | 96 | DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC |
| 2024-04-18 | HIGHLAND MANOR OF ELKO REHABILITATION LLC | — | — | — | 146 | HIGHLAND MANOR OF ELKO REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF FALLON REHABILITATION LLCthis facility | — | — | — | 102 | HIGHLAND MANOR OF FALLON REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC | — | — | — | 112 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC |
| 2024-01-01 | HEARTHSTONE | — | — | — | 125 | TRUCKEE MEADOWS HEALTHCARE, INC. |
| 2023-09-07 | TLC CARE CENTER | — | — | — | 255 | TLC SNF OPERATIONS LLC |
| 2023-08-31 | PAHRUMP HEALTH AND REHABILITATION CENTER | — | — | — | 120 | PAHRUMP SNF OPERATIONS, LLC |
| 2023-08-31 | MOUNTAIN VIEW HEALTH AND REHABILITATION | — | — | — | 146 | MV SNF OPERATIONS LLC |
| 2023-08-31 | GARDNERVILLE HEALTH & REHABILITATION CENTER | — | — | — | 60 | GARDNERVILLE SNF OPERATIONS LLC |
| 2023-08-31 | ORMSBY POST ACUTE REHABILITATION | — | — | — | 120 | ORMSBY SNF OPERATIONS LLC |
| 2023-06-01 | MOUNTAIN VIEW CARE CENTER | — | — | — | 87 | BOULDER CITY NV OPCO LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 32001 | fmr | 0 | $1,076 | 2025-10-01 | HUD_USER_FMR |
| county 32001 | acs median gross | 1 | $856 | 2024-12-31 | CENSUS_ACS5 |
| county 32001 | fmr | 1 | $1,083 | 2025-10-01 | HUD_USER_FMR |
| county 32001 | acs median gross | 2 | $1,144 | 2024-12-31 | CENSUS_ACS5 |
| county 32001 | fmr | 2 | $1,421 | 2025-10-01 | HUD_USER_FMR |
| county 32001 | acs median gross | 3 | $1,609 | 2024-12-31 | CENSUS_ACS5 |
| county 32001 | fmr | 3 | $1,976 | 2025-10-01 | HUD_USER_FMR |
| county 32001 | acs median gross | 4 | $1,785 | 2024-12-31 | CENSUS_ACS5 |
| county 32001 | fmr | 4 | $2,176 | 2025-10-01 | HUD_USER_FMR |
| county 32001 | acs median gross | 5 | $2,286 | 2024-12-31 | CENSUS_ACS5 |
| county 32001 | acs median gross | $1,319 | 2024-12-31 | CENSUS_ACS5 | |
| county 32001 | acs recent mover gross | $1,723 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89406 | acs median gross | 1 | $856 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89406 | acs median gross | 2 | $1,144 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89406 | acs median gross | 3 | $1,609 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89406 | acs median gross | 4 | $1,785 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89406 | acs median gross | 5 | $2,286 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89406 | acs median gross | $1,319 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89406 | acs recent mover gross | $1,723 | 2024-12-31 | CENSUS_ACS5 | |
| zip 89406 | payment standard 110 | 0 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | payment standard 90 | 0 | $972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | safmr | 0 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | payment standard 110 | 1 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | payment standard 90 | 1 | $972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | safmr | 1 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | payment standard 110 | 2 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | payment standard 90 | 2 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | safmr | 2 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | payment standard 110 | 3 | $2,167 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | payment standard 90 | 3 | $1,773 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | safmr | 3 | $1,970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | payment standard 110 | 4 | $2,387 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | payment standard 90 | 4 | $1,953 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89406 | safmr | 4 | $2,170 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.